MEDICARE: EMILY HOPPE CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R202325	MD

General Provider Information

NPI Number	:	1558819243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY HOPPE CRNP

Provider Business Mailing Address
First Line	:	716 N BROADWAY
Second Line	:	DEPARTMENT OF PSYCHIATRY C/O RON ROLOSON
City	:	BALTIMORE
State	:	MD
Zip	:	21205-1806
Country	:	US
Telephone Number	:	443-923-2600
Fax Number	:

Provider Business Practice Location Address
First Line	:	716 N BROADWAY
Second Line	:	DEPARTMENT OF PSYCHIATRY C/O RON ROLOSON
City	:	BALTIMORE
State	:	MD
Zip	:	21205-1806
Country	:	US
Telephone Number	:	443-923-2600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2016
Last Update Date	:	09/12/2016

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